Puppy/Dog Questionaire

Puppy/Dog Questionnaire

* All Fields are required, or we will not get back to you *
*Your name
*Your address
*Your city
*Your state
*Your zipcode
*Phone number
*Email address
Where do you work?
Who will care for the dog/puppy when you are working?
Do you live in:	HouseTrailerApartment
Do you have children?	NoYes
Do you have a fenced yard?	NoYes
If no, do you plan to fence your yard?	NoYes
Do you have a dog(s) now?	NoYes
If yes, what breed/s?
All of our puppies are sold with a spay/neuter agreement. Do you have a problem with this?	NoYes
If yes, why?
What gender are you intrested in buying?	MaleFemaleNo preference
What age dog/puppy are you intrested in buying?	8 wks6 mo1 year2 years and older
If no puppies are available, can you wait?	NoYes
What color dog/puppy are you interested in buying?	WhitePlain fawnFlashy fawnPlain brindleFlashy brindleNo preference
For what purpose(s) are you interested in buying a Boxer?	Family petBreedingShow prospect
Do you have a kennel?	NoYes
Why a Boxer?
Thank you for taking the time to fill out our questionnaire, we will get back to you in a few days.

Contact Info:
Ellis Hopkins and Brenda Daniels
Hertford, NC
Ph: 252-426-2271

Original design by Ruby